Individual
BRIAN LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5366
Mailing address
57 BUHL MORTON RD APT 1203, GALLIPOLIS, OH 45631-1339
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03439333
OH
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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